Organization Active NPI

Sathit B. Dulkanchainun, M.D., Inc.

Doing business as T.S. Dulkanchainun, M.D.

  • Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1912216276
Registry record updated Oct 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A62004 Issued in CA
Legal business name
SATHIT B. DULKANCHAINUN, M.D., INC.
Doing business as
T.S. Dulkanchainun, M.D.
Practice address
1245 Wilshire Blvd
Suite 408
Los Angeles, CA 90017-4810
Phone
(213) 787-6412
Fax
(213) 417-4641
NPI assigned
Oct 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sathit B. Dulkanchainun, M.D.
Title
Ceo
Phone
(213) 379-0664

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Transplant Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 204F00000X A62004 CA
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X A62004 CA Primary
Surgical Critical Care PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0102X A62004 CA
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X A62004 CA
Hospitalist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208M00000X A62004 CA

Addresses

Primary practice location

1245 Wilshire Blvd
Suite 408
Los Angeles, CA 90017-4810

Mailing address

11005 Mountair Ave
Tujunga, CA 91042-1215
Phone (213) 379-0664

Other names 1

  • T.S. Dulkanchainun, M.D. Doing business as

National Provider Directory

National Provider Directory

Locations

1245 Wilshire Blvd
Ste 408
Los Angeles, CA 90017
Phone (213) 482-2910

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1286150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286150400000",
    "number": "1912216276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11005 MOUNTAIR AVE",
            "city": "TUJUNGA",
            "state": "CA",
            "postal_code": "910421215",
            "telephone_number": "213-379-0664",
            "fax_number": "213-417-4641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 WILSHIRE BLVD",
            "address_2": "SUITE 408",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174810",
            "telephone_number": "213-787-6412",
            "fax_number": "213-417-4641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SATHIT B. DULKANCHAINUN, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-04",
        "last_updated": "2010-10-04",
        "status": "A",
        "authorized_official_last_name": "DULKANCHAINUN",
        "authorized_official_first_name": "SATHIT",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-379-0664",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "204F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Transplant Surgery",
            "state": "CA",
            "license": "A62004",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "A62004",
            "primary": true
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Surgical Critical Care",
            "state": "CA",
            "license": "A62004",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A62004",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A62004",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "T.S. Dulkanchainun, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.